Individual
MRS. SHANNON KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADN
Contact information
Practice address
8200 GUADALUPE TRL NW, LOS RANCHOS, NM 87114-1121
(505) 898-3666
Mailing address
7500 TARGET LN NW, ALBUQUERQUE, NM 87120-3065
(505) 550-7303
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
R52018
NM
163WS0200X
School Registered Nurse
R52018
NM
Other
Enumeration date
01/22/2013
Last updated
09/20/2023
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